Individual provider Active NPI

Whitney Elizabeth McCormick, FNP - C

  • Family Nurse Practitioner
  • Kenova, WV
National Provider Identifier
1619470382
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN71214-NP-C Issued in WV
Practice address
750 Oak St
Kenova, WV 25530-1517
Phone
(304) 453-6136
NPI assigned
Mar 8, 2018
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN71214-NP-C WV Primary

Addresses

Primary practice location

750 Oak St
Kenova, WV 25530-1517

Mailing address

750 Oak St
Kenova, WV 25530-1517
Phone (304) 544-0360

Other practice location 1

2 Stonecrest Dr
Huntington, WV 25701-9391
Phone (304) 525-2273

Other identifiers 3

IdentifierTypeStateIssuer
1619470382MedicaidWV
0275379MedicaidOH
7100529190MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address whitney.mccormick@marshall.cernerdirect.com
Direct Messaging Address Whitney.McCormick@direct.chhi.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180605000989 WV Practitioner - Nurse Practitioner 2769747278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Occumed LLCGroup PAC ID 6507864899, 9 clinicians

Practice addresses (Care Compare)

2 Stonecrest Dr
Huntington, WV 25701-9391
Phone (304) 525-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN71214-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Occumed, LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

2 Stonecrest Dr
Huntington, WV 25701
Phone (304) 525-2273

Interoperability endpoints

  • Direct secure messaging: whitney.mccormick@direct.chhi.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1619470382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 OAK ST",
            "city": "KENOVA",
            "state": "WV",
            "postal_code": "255301517",
            "telephone_number": "304-544-0360",
            "fax_number": "304-453-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 OAK ST",
            "city": "KENOVA",
            "state": "WV",
            "postal_code": "255301517",
            "telephone_number": "304-453-6136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Stonecrest Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257019391",
            "country_code": "US",
            "telephone_number": "304-525-2273",
            "fax_number": "304-525-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "WHITNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN71214-NP-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619470382",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0275379",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100529190",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whitney.mccormick@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "750 Oak St",
            "city": "Kenova",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255301517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Whitney.McCormick@direct.chhi.org",
            "affiliation": "N",
            "endpointDescription": "OccuMed, LLC",
            "address_1": "2 Stonecrest Dr",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257019391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kenova, WV

Sources for this page

Verify at the official NPI Registry.